Precertification Nurse - Revenue Cycle Specialist (LPN)

Ochsner Health; New Orleans (LA); On-site; USD 52,000 - 68,000; Full time

Job summary

Ochsner Health is seeking an LPN to secure pre-service medical necessity reviews and prior authorizations for scheduled inpatient and outpatient services. You will work with physicians and staff to ensure appropriate level of care and complete clinical documentation to support medical necessity.

The role requires an LPN license, 3 years hospital-based experience, and strong communication and attention to detail in a healthcare setting.

Qualifications

• LPN licensure in state of practice is required.
• Minimum 3 years of hospital-based patient care experience.

Responsibilities

• Perform pre-service medical necessity reviews to obtain prior authorizations.
• Maintain knowledge and certifications, ensure regulatory compliance.
• Support day-to-day department operations and revenue cycle goals.
• Collaborate with physicians and staff to determine level of care and necessary documentation.

Skills

Medical terminology

Pre-certification knowledge

Communication skills

Hospital experience

Education

LPN diploma

Tools

EMR systems

Billing/insurance knowledge

Job description

Ochsner Health is seeking an LPN to secure pre-service medical necessity reviews and prior authorizations for scheduled inpatient and outpatient services. You will work with physicians and staff to ensure appropriate level of care and complete clinical documentation to support medical necessity.

The role requires an LPN license, 3 years hospital-based experience, and strong communication and attention to detail in a healthcare setting.